Bedside Monitor
OSCE Clinical Simulation & Automated Debriefing Engine
Active Simulation Case58 years · Male · 72 kg
Adult In-Hospital Cardiac Arrest (Witnessed VFib)
A 58-year-old post-PCI patient suddenly clutches his chest and slumps unresponsive in his bed. Telemetry shows coarse chaotic oscillations. Carotid pulse is absent.
Elapsed Time
00:00
INITIAL RHYTHM: Coarse Ventricular Fibrillation (VF)•HR: 0 bpm•BP: 0/0•SpO2: 0%•ETCO2: 10 mmHg
Clinical Competency Verification Checklist (AHA / INC Standards)
Progress: 0 / 9 Actions Completed
#1Assess scene safety & tap-and-shout patient responsiveness
Verify unresponsiveness within 5–10 seconds.
+5 pts
Target: <00:10
#2Activate Hospital Code Blue & call for Crash Cart + DefibrillatorCRITICAL STEP
Must not delay emergency team activation.
+10 pts
Target: <00:15
#3Simultaneous carotid pulse & chest rise check (<10 seconds)
Do not spend >10 seconds feeling for a pulse.
+10 pts
Target: <00:25
#4Initiate High-Quality Chest Compressions (100–120 cpm, 50–60 mm depth)CRITICAL STEP
Minimize interruptions to compressions; full recoil.
+15 pts
Target: <00:35
#5Expose chest & apply Defibrillator Pads (Anterolateral position)
Apply without interrupting chest compressions.
+10 pts
Target: <01:00
#6Charge Defib to 200J Biphasic & announce loud verbal "STAND CLEAR!"CRITICAL STEP
Visually sweep from head to toe before shocking.
+15 pts
Target: <01:20
#7Deliver 1st Shock & immediately resume CPR without rhythm check
Do not pause to check pulse immediately post-shock.
+15 pts
Target: <01:30
#8Establish IV/IO access & administer Epinephrine 1 mg IV + 20 mL flush
Repeat Epinephrine every 3–5 minutes during cardiac arrest.
+10 pts
Target: <03:00
#9Prepare Amiodarone 300 mg IV bolus for shock-refractory VF (after 3rd shock)
Consider Lidocaine 1–1.5 mg/kg if amiodarone is unavailable.
+10 pts
Target: <04:00